Requirements before Blood Transfusion.
It is required to have to initiate a blood transfusion.
What is a physician's order?
The only IV fluid to be used to prime the line compatible with blood products.
What is 0.9% normal saline?
Timing of vital signs for a blood transfusion.
When are...before blood transfusion (30 mins at least), 15 minutes after the start, and at the completion of blood transfusion?
Steps to take when the patient is having a blood transfusion reaction.
What are.... stop transfusion & maintain patent IV, call MD asap & blood bank, treat & monitor the patient, disconnect blood product & tubing.
The blood bank will issue 2 PRBC for this protocol.
What is Emergency Release?
The number of licensed staff to verify the blood transfusion order.
What is 2 Licensed staff?- RNs, CRNA, or MDs.
The tubing used for blood transfusion.
What is Y-tubing with a filter?
The number of licensed staff to verify blood products before transfusion, at the bedside.
What is 2 licensed staff? RNs, CRNA, or MDs.
Form to fill out for a patient who had a transfusion reaction.
What is transfusion reaction form? Found in Blood Transfusion Education Binder Station 2.
The blood bank will issue 4 PRBC, 4 FFP & 1 Platelet for this protocol.
What is Hemorrhage Protocol?
Mandated by the state for the Physician to discuss with the patient prior to blood transfusion?
What is Paul Gann's Act or Inform Consent for blood transfusion?
The minimum IV gauge to use for an adult blood transfusion.
What is 20 G?
The duration of transfusion of PRBC.
When is 2 to 4 hours?
Items to send to Blood Bank if suspected of transfusion reaction.
What are...the unit of blood with the administration set along with the blood specimen drawn in the purple top?
Location of Emergency Release/Hemorrhage Protocol form.
Where is crash cart binder?
Department to call to verify the name of the patient requiring transfusion and ensure availability of blood product needed.
What is Blood Bank?
The blood transfusion order is released here.
What is Transfusion Report (from BPAM Flowsheet) or Manage Order?
Items needed to be verified- prior to transfusion.
What are... patient name, MR #, blood product, blood type, unit number, Rh factor, and date of expiration?
Instruct the patient to notify you when experiencing the following symptoms during and after the transfusion.
What are chills, fever, chest pain, dyspnea, rash, itching, and back pain?
Time for blood products to be ready for pickup in the blood bank after the Emergency Release/Hemorrhage protocol is activated.
When is within 10 minutes?
The docflowsheet used for blood transfusion documentation
What is BPAM?
The maximum time to use blood tubing.
When is 4 hours?
Given to patient prior to blood transfusion and upon discharge home post blood transfusion.
What is blood product transfusion education?
A transfusion recipient experiences acute respiratory insufficiency and/or x-ray finding that are consistent with pulmonary edema without evidence of cardiac failure within six (6) hours of transfusion.
What is TRALI (Transfusion Related Acute Lung Injury)?
The blood type of PRBC issued for Emergency Release & Hemorrhage Protocol.
What is Universal blood type- O negative?